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SURGICALSURGICALANTIANTI

BIOTICSBIOTICS

Choice of antibiotics forChoice of antibiotics forprophylaxisprophylaxis

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Benzylpenicillin should be used if Benzylpenicillin should be used if

ClostridiumClostridium

infection is a possibilityinfection is a possibility

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Patients with heart valve disease or aPatients with heart valve disease or aprosthesis should be protected fromprosthesis should be protected frombacteraemia caused by dental work,bacteraemia caused by dental work,urethral instrumentation or viscusurethral instrumentation or viscussurgerysurgery

Principles in the use of Principles in the use of antibioticsantibiotics

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Given in the ‘decisive period’, theyGiven in the ‘decisive period’, theyare useful for prophylaxisare useful for prophylaxis

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Only spreading infection or signs of Only spreading infection or signs of systemic infection justify the use of systemic infection justify the use of antibioticsantibiotics

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Whenever possible, the organismWhenever possible, the organismand sensitivity should be determinedand sensitivity should be determined